Objective： To explore the relationship of NF-κB in placenta with early-onset（ gestational age <32 weeks）and late-onset（gestational age ≥ 32 weeks）preeclampsia. Method：40 PE women were selected and divided into early-onset PE group of 20 cases and late-onset PE group of 20 cases.The normal control group were 30 healthy normotensive pregnancy.Immunohistochemistry was employed to show the location distribution and quantity of NF-κBp65 in placenta of preeclampsia. Result：NF–κBp65 in placenta of preeclampsia was stronger expression than that of control group，and was stronger expression in early-onset preeclampsia than that in late-onset preeclampsia，the differences were statistically significant（P<0.05）.Conclusion： It suggests that NF–κB participate in the pathogenesis of preeclampsia.Increasing NF–κB activity in placenta induces the immune inflammatory reaction，which may be related to the etiology of early-onset and late-onset preeclampsia.

2015 Vol. 12　(7):　4-6 [Abstract]（ 401 ） HTML (1 KB)  PDF  (740 KB)  ( 178 )

Objective： To observe the effect of prone position general anesthesia on postoperative cognitive function in patients with orthopaedic surgery， provide reference for clinical practice and guidance. Method： 40 patients ith orthopaedic surgery in our hospital were selected as the clinical research objects，according to operation position， they were randomly divided into the supine position group and prone position group， 20 cases in each group. The two groups of patients were given the same anesthesia method. The cognitive function of the two groups before and after anesthesia were mainly observed， the influence of postural differences on postoperative cognitive function of patients was analyzed. Result： The supine position group and the prone position group occurred after surgery postoperative cognitive impairment，but the incidence of cognitive dysfunction in prone position group was significantly higher than that of the supine position group， recovered more slowly， the differences were statistically significant（ P<0.05）. Conclusion： The prone and supine position under general anesthesia orthopaedic surgery may occur the postoperative cognitive dysfunction， but the incidence of cognitive dysfunction in prone position is significantly higher， cognitive function recovery time is also significantly slower， so should choose a more scientific and reasonable postures of patients with general anesthesia， to ensure the postoperative quality of life of patients.

2015 Vol. 12　(7):　10-13 [Abstract]（ 693 ） HTML (1 KB)  PDF  (687 KB)  ( 156 )

Objective： To investigate the effect of UCP2 during the oxidative stress injury procedure of PM2.5 on the rat myocardial cells H9C2. Method： Rat cardiomyocytes H9C2 cell lines were cultured，and divided into 3 groups，the NC group was used of conventional medium stimulus，the PM2.5 group was used of PM2.5 medium stimulus and the PM2.5+siRNA group was used of PM2.5+siRNA medium stimulus. After 48 hours，the activity of reactive oxygen species （ROS） and superoxide dismutase（ SOD）， and the content of malonaldehyde（ MDA） and glutathione（ GSH），were determinated by colorimetric detection.Result：The PM2.5 group of intracellular ROS，MDA， the content of GSH，and the activity of SOD，were respectively（ 69.2±6.3）U/Well，（68.33±1.96）nmol/mgprot，（533.05±10.83）mg/ gprot，（50.37±1.98）U/mgprot.Compared with PM2.5 group，the PM2.5+siRNA group of intracellular ROS was （90.2±6.2）U/Well increased greatly，MDA was（88.44±1.27）nmol/mgprot increased greatly，the content of GSH was（ 421.17±16.90）mg/gprot and the activity of SOD was（30.09±2.02）U/mgprot. Compared the three groups，all the differences were statistically significant（P<0.05）. Conclusion：PM2.5 can lead to myocardial cell damage by oxidative stress， and the silence of UCP2 by RNAi lead to aggravate the injury of H9C2 cells， indicating that UCP2 may play an protective effect during the oxidative stress injury procedure of H9C2 caused by PM2.5.

2015 Vol. 12　(7):　18-21 [Abstract]（ 593 ） HTML (1 KB)  PDF  (712 KB)  ( 196 )

Objective： To assess effect on ovarian adenocarcinoma cell HO-8910 by gallium nitrate， investigate the expression of Bcl-2， Bax and Caspase-3.  Method： The human ovarian cancer cell line HO-8910 was cultured and treated with drugs， expression of Bcl-2， Bax and Caspase-3 was analyzed by Western blot. Result： The expression of Bcl-2 protein was down regulated in gallium nitrate group， cisplatin group and combination group compare with control. Bax and aspase-3 protein was activated in gallium nitrate group and combination group compare with control.Conclusion： Effects of gallium nitrate on human ovarian cancer cells， may be associating with the expression of Bcl-2 levels is decrease， Bax， Caspase are up regulation.

2015 Vol. 12　(7):　25-27 [Abstract]（ 566 ） HTML (1 KB)  PDF  (679 KB)  ( 241 )

Objective： To investigate the clinical value of noninvasive bi-level positive tive airway pressure（ BiPAP）in the treatment of elderly patients with acute left heart failure on the basis of conventional drug treatment. Method： 55 elderly patients with acute left heart failure above 60 years old， after conventional nasal catheter oxygen and strong heart，diuresis drug treatment 40 min stilled invalid， then were treated with BIPAP. The symptoms and signs， serum brain natriuretic peptide（ BNP） and partial pressure of oxygen in arterial blood（ PaO2）， partial pressure of carbon dioxide in arterial blood（ PaCO2） and so on before and after the treatment of all patients were observed. Result： After the treatment with noninvasive ventilator，46 cases（ 83.6%） of dyspnea improved obviously， double lung sound decreased， heart rate （HR）， respiratory（ R）， the BNP declined， PaO2， arterial oxygens aturation（ SaO2） increased， the differences were statistically significant（ P<0.05）. 9 patients due to illness were changed tracheal intubation mechanical ventilation treatment， 5 cases died. Conclusion： For the poor effect of drug treatment in elderly patients with acute left heart failure，BIPAP treatment can rapidly improve the arterial blood oxygen content， improve heart function， relieve edema， reduce the use of tracheal intubation invasive mechanical ventilation and related complications， reduce the patient’s pain and the effect is remarkable. It is a safe and effective method of first aid.

2015 Vol. 12　(7):　31-33 [Abstract]（ 558 ） HTML (1 KB)  PDF  (680 KB)  ( 277 )

Objective： To explore the clinical value of nephron carcinoma resection. Method： Our hospital from 2010 to 2010 nephron kidney cancer resection 41 cases and kidney cancer radical resection of 47 cases of medical records in kidney cancer radical resection were selected for control group， with nephron kidney cancer resection as the experimental group， to analyze the effect of the two groups. Result： Two groups successfully completed， and an average length of hospital stay of the two groups were both 11 d clinical stages were T1N0M0， and intraoperative blood loss in operation time and survival rate had no significant differences（ P>0.05）， but the experimental group had a good quality assessment（ P<0.05）. Conclusion： Retain the nephron kidney cancer resection of postoperative life quality is much better than that of radical excision group of patients， has higher clinical value and practical significance.

2015 Vol. 12　(7):　37-39 [Abstract]（ 505 ） HTML (1 KB)  PDF  (667 KB)  ( 250 )

Objective： To investigate the changes and significance of the receptor activator for osteoprotegerin （OPG） and receptor activator of nuclear factor kappa B ligand（ RANKL） in gingival crevicular fluid（ GCF） in postmenopausal women with periodontitis. Method： To follow careful sampling of GCF with moisture absorption paper point strips in patients. The level of OPG and RANKL was detected using ELISA technique. Result： The GI， PLI， PD，AL difference was significant between the two groups（ P<0.01）. There was significant difference in levels of RANKL，OPG and the ratio of RANKL/OPG in GCF between the two groups（ P<0.01）. Conclusion： The result suggests that the increasing production of RANKL and reducing production of OPG maybe associated with the initiation and progress of periodontitis.

2015 Vol. 12　(7):　42-44 [Abstract]（ 609 ） HTML (1 KB)  PDF  (670 KB)  ( 259 )

Objective： To explore the curative effect of 45 Uncontrolled hemorrhagic shock patients treated with Restrictive liquid recovery， in order to provide experience for the clinical treatment of uncontrolled hemorrhagic shock. Method： To retrospectively analyze the clinical data of 77 uncontrolled hemorrhagic shock patients admitted in our hospital emergency clinic， they were divided into observation group and control group depending on the liquid recovery methods. 45 patients in the observation group were treated with restrictive liquid recovery treatment， 32 patients in the control group were treated with sufficient liquid recovery treatment. To compare the preoperative transfusion amount，prothrombin time， backlog of red blood cells， mortality， and survival in patients with acute renal failure（ ARF） and multiple organ dysfunction syndrome（ MODS） and acute respiratory distress syndrome（ ARDS）， diffuse intravascular coagulation（ DIC）， and other complications between the two groups. Result： The preoperative transfusion amount，prothrombin time in the observation group was significantly lower than that of the control group，while the backlog of red blood cells was significantly higher than that of the control group， the difference was statistical significance（ P<0.05）.The fatality rate of the observation group was 8.89%， it’s significantly less than 18.75% of the control group， the difference was statistically significant（ P<0.05）. Among survival patients， the complication rate of the observation group was 17.07%， it’s significantly less than 34.62% of the control group， the difference was statistically significant（ P<0.05）. Conclusion： Restrictive liquid recovery uncontrolled hemorrhagic shock with obvious therapeutic effect， can significantly reduce the mortality and complication rates， deserves further research.

2015 Vol. 12　(7):　48-50 [Abstract]（ 543 ） HTML (1 KB)  PDF  (680 KB)  ( 172 )

Objective： To discuss the approach complication cause and precautionary measures by modified radical mastectomy. Method： 120 cases clinical data of breast cancer were analyzed in our hospital general surgery department from Janury 2010 to May 2014，which were divided into control group of 60 cases and observation group of 60 cases. The control group was used in longitudinal fusiform incision，observation group was used in transverse incision. Result： The postoperative complications、postoperative recurrence rate and transport rate of observation group were lower than control group， the difference were statistical significance（P<0.05）. Conclusion： The complication cause by modified radical mastectomy are analyzed，the incidence of postoperative complications by precautionary measures are decreased，prognostic level is increased.

2015 Vol. 12　(7):　53-55 [Abstract]（ 616 ） HTML (1 KB)  PDF  (667 KB)  ( 181 )

Objective： To observe the changes of coagulation， fibrinolytic function and platelet parameter before and after interventional therapy for patients with lung cancer，and explore its clinical significance.Method： 37 patients with lung cancer were treated with selective bronchial artery catheterization and perfusion chemotherapy drugs by using Seldinger line of femoral artery intubation，at the same time 35 cases of normal medical clinic were selected as control group.The changes of coagulation，fibrinolytic function and platelet parameter of the control group and patients with lung cancer were compared before and after chemotherapy.Result：The expression level of serum PT， TT and APTT，FIB，D-D，PAI-Ⅰ of patients with lung cancer before interventional treatment were significantly higher than that of the control group，and the expression levels of serum PC， FPS were significantly decreased，the differences were statistically significant（P<0.05）.The above indicators were significantly lower or higher after interventional therapy， compared with the control group had no significant difference（P>0.05）.The expression levels of PLT， PCT and MPV of patients with lung cancer before interventional therapy were significantly higher than that of the control group，the difference was statistically significant（P<0.05）.The above indicators were significantly lower after interventional therapy，the difference was statistically significant（P<0.05），but PDW had no significant change（P>0.05）.Conclusion：The curative effect of interventional treatment of patients with lung cancer can be accurately assess according to blood coagulation， fibrinolytic function and platelet parameters.

2015 Vol. 12　(7):　58-60 [Abstract]（ 657 ） HTML (1 KB)  PDF  (669 KB)  ( 195 )

Objective： To discuss and analyze the curative effect of levofloxacin hydrochloride combined with metronidazole in the treatment of pelvic inflammatory disease observation. Method： In our hospital from 2012 December to 2013 December during the pelvic inflammatory disease patients， randomly selected 74 patients as the research objects，and randomly divided them into observation group and control group（ 37 cases in each group）， the control group accepted Metronidazole Injection treatment， the observation group based on the Metronidazole Injection combined with levofloxacin hydrochloride carries on the treatment， after treatment， to compare the clinical efficacy and adverse reactions of the two groups. Result： The cure rate of the observation group and the total effective rate was 70.27%（ 26 cases）， 94.59%（ 35 cases）， which was significantly higher than 37.83%（ 14 cases）， 70.27%（ 26 cases） of the control group； adverse reaction of the observation group was 5.40%（ 2 cases）， which was significantly lower than 24.32%（ 9 cases） of the control group，with statistical significance（ P<0.05）. Conclusion： The use of pelvic inflammation patients is treated with levofloxacin hydrochloride combined with metronidazole， obvious effect， and less adverse reactions， got favorable comments from patients， is worthy of promotion and application in clinical.

2015 Vol. 12　(7):　63-65 [Abstract]（ 550 ） HTML (1 KB)  PDF  (668 KB)  ( 171 )

Objective：To discuss the clinical effect of hemodialysis series blood perfusion in the treatment of uremia，summarized the clinical application value. Method： 40 cases of patients with uremia were selected in our hospital from June 2012 to June 2014，according to the double blind method，divided into the experimental group and control group，20 cases in each group.The control group were treated with hemodialysis，the experimental group were treated with hemodialysis series blood perfusion， 4 weeks after treatment，the clinical effect were compared. Result： Compared with the control group， experimental group had better effect to the treatment of patients with uremia， the experimental group after treatment of PTH（ parathyroid hormone），and β2-MG（ β2-microglobulin） level were respectively（231.6±63.8） ng/L、（4.3±1.8）ug/mL，lower than the control group，the difference was statistically significant  （P<0.05）. In addition，the experimental group sleep，appetite and itchy skin to improved situation were better than that of control group， the difference was statistically significant（P<0.05）.Conclusion： Hemodialysis series blood perfusion for the treatment of patients with uremia is better than that of hemodialysis filtration， tandem therapy is worth further application and popularization.

2015 Vol. 12　(7):　68-71 [Abstract]（ 425 ） HTML (1 KB)  PDF  (691 KB)  ( 196 )

Objective： To through the detection rate of chronic disease for five years of medical staff in a tertiary comprehensive hospital， analyze the reasons and put forward effective health promotion strategies on the basis of the reasons. Method： The results of health examination of workers from 2009 to 2013 in a a tertiary comprehensive hospital of Jiangmen city were used. The 字2 test of multiple sample rate was used in the detection rate of disease for significance test analysis. Result： There were statistical differences among the detection rate of gallbladder disease， high blood pressure，blood glucose abnormalities， and fatty liver in five years（ P<0.01）. Conclusion： Health status of medical personnel is not optimistic， it should draw great attention of the related departments. On the basis of adopting comprehensive measures，emphasizing the comprehensive social forces is very important measure to ensure the medical personnel health promotion.

2015 Vol. 12　(7):　77-79 [Abstract]（ 482 ） HTML (1 KB)  PDF  (667 KB)  ( 198 )

Objective： To explore the effect of systematic nursing intervention on external fixation stent therapy for patients suffering long-bone fracture of limbs to offer scientific guidance to help Clinical patients. Method： 68 cases of patients who received external fixation stent therapy after suffering long-bone fracture of limbs in our hospital from November 2011 to November 2012 were chosen as the objects， they were randomly divided into the observation group and the control group，34 cases in each group. The patients in the observation group were given routine nursing intervention and the others in the control group were given systematic nursing intervention.The clinical intervention effects， complication rates， the satisfaction degree and the information of nursing self-management evaluation in each group were observed and compared. Result：Clinical intervention effects， complication rates， the satisfaction degree and the information of nursing self-management evaluation in the observation group were significantly superior to those in the control group， the differences were statistically significant（P<0.05）；clinical intervention had great effect on patients in both group， and the condition of the observation group was superior to that of the control group after offering systematic nursing intervention， the difference was statistically significant（P<0.05）.Conclusion： Systematic nursing intervention in external fixation stent therapy for the patients suffering long-bone fracture of limbs has great effect on those patients， it can reduce the complications rates in patients， improve patients ’ satisfaction degree and clinical nursing effect. It is worthy of extensive clinical application.

2015 Vol. 12　(7):　83-85 [Abstract]（ 647 ） HTML (1 KB)  PDF  (679 KB)  ( 222 )

Objective： To discuss the importance of the first aid nursing to save liver trauma life and improve the cure rate. Method： We recorded and analyzed retrospectively more complete 96 cases with severe liver injury from August 2000 to April 2014. Result： 96 liver rupture patients， all hepatic artery ligation， simple hepatic wound debridement repair 30 cases， additional common bile duct and T tube drainage in 6 cases， hepatic artery ligation（ HAL） and T-tube drainage 42 cases， 14 cases of irregular hepatectomy， right liver injury 18 cases. The bare area of liver of severe comminuted damage， unable to repair， average blood lost more than 2500 mL， in critical condition， with gauze with packing the injured part and inferior phrenic， using HAL and T tube drainage， all patients were in Prin-gle ’s method for processing.The blocking time was within 20 minutes， the average postoperative blood transfusion volume in the 1000-2400 mL. 19 cases of biliary tract bleeding， subphrenic infection in 12 cases， pulmonary infection， organs function failure in 15 cases，12 cases of death. Conclusion： Liver traumatic rupture patients need early correct diagnosis， with medical treatment， fast recovery of body fluid balance. In the emergency treatment and nursing process should be fast and accurate preoperative blood transfusion with all kinds of preparations， postoperative nursing. Hemorrhagic shock at the same time， operation treatment. First aid nursing positively has great effect on saving the patient’s life and improving the cure rate.

2015 Vol. 12　(7):　89-92 [Abstract]（ 532 ） HTML (1 KB)  PDF  (688 KB)  ( 251 )

Objective： To analyze the nursing intervention auxiliary oxygen spray inhalation drug therapy the clinical treatment effect of children with asthmatic bronchitis. Method： From May 2012 to May 2014 in our hospital 268 children with asthmatic bronchitis were divided into two groups at random， control group accepted with oxygen spray inhalation budesonide and terbutaline sulfate treatment， observation group increased nursing intervention on the basis of the control group. Result： Treatment effectiveness of the observation group after nursing intervention was 94.8%，treatment effectiveness of the control group was 82.1%， children symptoms relieve time of the observation group was significantly shorter than that of the control group， the treatment effect between the two groups was different markedly， with statistical significance（ P<0.05）. Conclusion： The drug oxygen spray inhalation in the treatment of the clinical treatment of children with asthmatic bronchitis， increase nursing intervention measures， and can effectively improve the clinical therapeutic effect， make the healing fast， recommended in clinical use.

2015 Vol. 12　(7):　96-98 [Abstract]（ 493 ） HTML (1 KB)  PDF  (680 KB)  ( 193 )

Objective： To investigate the risk management in low birth weight children intravenous catheter care in the use. Method： First we chose our hospital NICU 480 low birth weight children， who were divided into two groups.With conventional treatments as well as risk management， we compared and analyzed the incidence of complications in the case of the two care methods. Result： Compared two fluid extravasation of low birth weight children， phlebitis，infection and the occurrence of skin induration， the risk management significantly reduced the risk of incidence（ P<0.05）. Conclusion： Risk Management Act in low birth weight children intravenous catheter care process is very important，which can reduce the incidence of complications， and strengthen risk management to ensure the safety of low birth weight children infusion skin plays a decisive role.

2015 Vol. 12　(7):　101-104 [Abstract]（ 515 ） HTML (1 KB)  PDF  (698 KB)  ( 276 )

Objective： To analyze quality of nursing in patients with cerebral thrombosis， the application of clinical nursing effect. Method： We chose 86 cerebral thrombosis patients， and randomly divided into two groups，controlled group which contained 42 cases was given basic nursing， 44 cases in observation group were given high quality on the basis of basic nursing care， compared patient care and nursing satisfaction of the two groups. Result： After nursing，SAS scores and SDS scores of the two groups were significantly lower， and that of the observation group was significantly lower than that of the control group. After nursing， patients daily life activities ability score of the two groups increased significantly， and daily life activities ability score of the observation group was significantly higher than that of the control group. Length of stay of the observation group was shorter than that of the control group， and nursing satisfaction was significantly higher than the control group， with significant difference（ P<0.05）. Conclusion： High quality nursing care for patients with cerebral thrombosis， is conducive to ease the anxiety， depression， and the bad mood， can significantly shorten the hospitalization time， promote the rehabilitation of patients daily life activities ability is worth popularization in clinical.

2015 Vol. 12　(7):　107-110 [Abstract]（ 473 ） HTML (1 KB)  PDF  (687 KB)  ( 191 )

Objective： To investigate the clinical curative effect of laparoscopic operation combined with drugs in the treatment of endometriosis of ovary. Method： 40 patients underwent laparoscopic operation treatment because of ovarian cyst， infertility， dysmenorrhea and other diagnosis in our department from January 2012 to January 2014 were reviewed， they were given triptorelin acetate treatment for 3-6 months. Result： The pathological of all operation specimens were diagnosed as endometriosis of ovary， regular followed up after operation， 3 cases of recurrence， 21 cases of dysmenorrhea relief， 8 cases of pregnancy  Conclusion： Laparoscopy combined with triptorelin acetate is a method of good curative effect for the treatment of endometriosis of ovary， can improve the pregnancy rate in infertile patients at the same time.

2015 Vol. 12　(7):　117-120 [Abstract]（ 526 ） HTML (1 KB)  PDF  (687 KB)  ( 183 )

Objective： To analyze the reconstruction and repairing methods and effects of comminuted fractures of anterior skull base. Method： 60 patients who suffered from the comminuted fractures of anterior skull base and who accepted treatment in our hospital from May 2012 to August 2014 were taken as the research objects to take the retrospective analysis. According to the CT examine results， the osseous reconstruction and the membranous reconstruction repairing surgeries were conducted. In addition， taking the titanium mesh and patients’ own bones as the repairing materials， the recovery situation after surgeries and the CT re-examine results were observed and written down. Result： Among 60 patients， one of them died due to the serious injuries， two of them were conducted the interventional therapy because of the internal artery injuries and were conducted the reconstruction and repairing surgeries later on. Then， the surgeris of another 59 of them succeeded. During the follow-up period， two of them suffered from intracranial infection， one of them suffered from leakage of cerebrospinal， one of them suffered from infection after the cranial through surgery. After the second surgery and the treatment of lumbar continuous drainage of fluid， the repairing effects at the places of fracture were good， and the continuity of bones was good without the complications of cranial meningocede and the leakage of cerebrospinal.Conclusion： The application of the osseous reconstruction and the membranous reconstruction repairing on the patients who suffer from comminuted fractures of anterior skull base can effectively recover the defects of bone dura mater. In addition， the occurrence rate of complications is low and the effect of surgeries is good. Thus， it should be promoted in the clinic applications.

2015 Vol. 12　(7):　123-125 [Abstract]（ 563 ） HTML (1 KB)  PDF  (666 KB)  ( 251 )

Objective：To study the clinical effect of repairing serious scar contracture of axilla by applying scapular region flap. To summarize the experiences of clinical scapular region flap application， and discuss its feasibility. Method： 11 patients with 13 parts of serious scar contracture of axilla were organized scar release. All patients got repaired by transferring scapular region flap.Result：11 patients with 13 parts of serious scar contracture of axilla getting repair were totally successful. Among them，one patient’s distal subcutaneous fat of flap became fat liquefaction， and with 2 cm dehiscence，changed fresh dressing and suturing， the repaired part healed. Doctors and patients all satisfied with wood surface. Post-operation follow-up 6 monthes to 2 years， all patients wood surface looked good without edema and the axilla never happen scar contracture again. Shoulder joint work normally. Conclusion：The scapular region flap is one of the best way of repairing scar contracture of axilla，which with following advantages：scapular region flap with large area，reliable blood supply，without sacrifice main blood vessel can be easily get，and can be directly sutured and so on.

2015 Vol. 12　(7):　129-131 [Abstract]（ 505 ） HTML (1 KB)  PDF  (711 KB)  ( 266 )

Objective： To compare the clinical efficacy analysis of thoracolumbar fractures were treated by vertebral single segment and across the injured vertebra short segment fixation treatment. Method： 70 thoracolumbar fracture patients in our hospital were randomly divided into observation servation group（ treated by vertebral single segment fixation treatment） and control group（ with short segment fixation across the injured vertebra）， and were observed and compared between the two groups before and after operation of operation treatment satisfaction， sagittal Cobb angle， injury vertebral front height changes，postoperative follow-up corrective and follow-up of loss. Result： The postoperative follow-up found that patients of the two groups after the sagittal Cobb angle decreased， and the vertebral front height increases， but the patients in the observation group were improved significantly than that of the control group（ P<0.05）. Two groups with sagittal Cobb angle， vertebral height of anterior surgical correction was not significantly different. The observation group patients were followed up for sagittal Cobb angle， vertebral front height loss degree were significantly lower than the control group（ P<0.05）. Conclusion： The vertebral single segment fixation for the treatment of thoracolumbar fractures of the clinical efficacy is significant， which can effectively restore the sagittal Cobb angle， vertebral height， also can reduce postoperative loss of correction， worthy of further promotion and application in clinical practice.

2015 Vol. 12　(7):　134-137 [Abstract]（ 630 ） HTML (1 KB)  PDF  (701 KB)  ( 343 )

Objective： To investigate the microscopically craniotomy hematoma removal clinical effect in the treatment of hypertensive intracerebral hemorrhage. Method： A retrospective analysis treated 253 hypertensive cerebral hemorrhage patients with clinical data under a microscope craniotomy hematoma removal from May 2009 to May 2014，including the conventional decompressive craniotomy hematoma in 68 cases， a small bone window craniotomy hematoma removal in 185 cases. Result： 24 h after operation， all patients were scanned CT， 119 cases of hematoma cleared completely， 87 cases of residual hematoma volume ≤ 10 mL， 46 cases of 10 mL < residual hematoma volume ≤ 20 mL， 1 case of residual hematoma volume 25 mL. According to GOS scale， 5 points in 71 cases， 4 points in 95 cases， 3 points in 55 cases， 2 points in 24 cases， 1 point in 8 cases. Conclusion： Hypertensive cerebral hemorrhage is generally treated with nonsurgery treatment， the surgery treatment is applied when the hemorrhage is severe， accurately grasping the indication of surgery， microsurgery technique， operation time and handle of a variety of postoperation complications are the key points to reduce the mortality and improve the patients’survival rate.

2015 Vol. 12　(7):　140-142 [Abstract]（ 485 ） HTML (1 KB)  PDF  (699 KB)  ( 151 )

Instability of the atlanto-axial complexly caused by inflammatory， trauma， congenital neoplast or degenerative disorders. It was one of considerable challenges to the veterinary surgery and could lead to quadriplegia and even life-threatening. With the increasing level of modern surgical clinics， diagnosis and treatment for instability of the atlanto-axial achieved great progress. A variety of internal fixation methods were invented. Anterior fixation methods prior to passing atlantoaxial screw fixation（ ATS）， anterior plate fixation Currently there transoral atlantoaxial plate （Harms plate）， anterior atlantoaxial joint locking plate（ SAALP）， transoral atlantoaxial reduction plate system（ TARP），transoral anterior reconstruction plate（ TORP）. Posterior technology include Gallie technology and Brooks steel or titanium cable fixation techniques， Halifax or Apofix lamina clip fixation techniques， within Magerl by atlantoaxial facet screw steel or titanium cable joint posterior fixation method， C1- lateral mass and C2 pedicle screw or nail plate screwrod fixation techniques. Atlantoaxial instability in other major surgical include minimally invasive surgery， orthopedics dynamic fixation techniques of digital technology-oriented technology and to maintain atlantoaxial activity. But over several techniques used in experiments or preliminary clinical evaluation of the need for further study are still studying. In this paper， the progress of atlantoaxial instability surgery on reviewed.

2015 Vol. 12　(7):　146-149 [Abstract]（ 594 ） HTML (1 KB)  PDF  (678 KB)  ( 426 )

Metacarpal neck fractures often suffer from shock when a fist metacarpal bones convey violence caused mostly transverse fracture, are unstable fracture, surgery should be reset, help restore hand function. Because of the need to complete the fine hand movements on fracture healing after the appearance, functions have higher requirement, to select appropriate method of treatment is important. Currently metacarpal neck fractures in patients, the use of external fixation, internal fixation method of treatment has been applied to routine clinical treatment, its efficacy has been clinically recognized. This paper reviews the concepts metacarpal neck fractures, surgical reduction mechanism, metacarpal neck fractures checks, external fixation, internal fixation, drug treatment, progress functional exercise, and other aspects of postoperative treatment and sequelae.

2015 Vol. 12　(7):　153-156 [Abstract]（ 324 ） HTML (1 KB)  PDF  (686 KB)  ( 138 )